Andrea West, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-20-42512 Issued in OK

Practice address

600 Liberty LN
Edmond, OK 73034-9432

Phone

(405) 548-1029

Fax

(817) 549-3173

NPI assigned

Jul 11, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bluesprig

  • Behavior Technician
  • Edmond, OK
  • NPI 1467316315
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1104478957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 LIBERTY LN",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730349432",
            "telephone_number": "405-548-1029",
            "fax_number": "817-549-3173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 LIBERTY LN",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730349432",
            "telephone_number": "405-548-1029",
            "fax_number": "817-549-3173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "ANDREA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-11",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OK",
            "license": "1-20-42512",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OK",
            "license": "RBT-15-07298",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Treka B Wenner, PA
• Miranda Wentworth, RBT
• Kinzie Werdel, CCC-SLP
• Carla A Werner, M.D.
• Cami Camille West Puentes
• David Parker West, M.D.
• Westbrook Family Physicians Inc
• Patricia Anne Westcott, LCSW
• Western Hospitalist PLLC
• Western Oklahoma Pain Specialists LLC

• Behavior Analyst in Edmond, OK
• Providers in Edmond, OK by specialty
• Behavior Analyst in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.